Organization
512 49TH AVENUE NORTH, LLC
Active
Other names
Camden Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
SERGEI SHVETZOFF (PRESIDENT)
(763) 537-5700
Entity
Organization
Contact information
Practice address
512 49TH AVE N, MINNEAPOLIS, MN 55430-3621
(612) 529-7747
Mailing address
12900 WHITEWATER DR STE 201, HOPKINS, MN 55343-9407
(763) 537-5700
(763) 537-9200
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/28/2015
Last updated
11/06/2019
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